CDRS Veterinary Dentistry Report  
Volume 1, Internet Issue 5 April
2003
Donald H. DeForge, VMD
Fellow of the Academy of Veterinary Dentistry
 

In
This
Issue

Denti News

Dental Homecare and Oral Hygiene

Dental Disease and Eye Problems

Bone Grafting in Periodontal and Oral Surgery

Detailed Impressions: Nonin re-review

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VDR Page

Veterinary Dentistry Report - Detailed Impressions
Connecticut Dental Referral Service

Nonin/R 9847V - Pulse Oximeter and C02 Detector
Final Review: 18 month Review-1500 Case Review

NONIN/R 9847V - Grading 1AI

** NEW GRADING SYSTEM: See below for grading explanation

Anesthesia technicians are the hub of all surgery departments. Whether it is in the one doctor practice or the muti-doctor university and/or private referral centers, without trained anesthesia-technicians the patient is not able to be given adequate monitoring.

The tools of the anesthesia-technician should include constant strip ECG, blood pressure, Sp02 and C02 monitoring. Many monitoring systems combine all of these important patient system checks. There are advantages and disadvantages to "loaded" equipment. I have found combining the best in separate systems is a MORE efficient and economical approach to patient monitoring.

In an 18 month period, 1493 cases were monitored with the Nonin/R Model 9847V veterinary pulse oximeter and carbon dioxide detector. The clinical recorded data has been accurate and consistent. It has been utilized in patients from 1.0 kg. to 100kg. without flaw. The data has been consistent when compared to other monitoring systems being used simultaneously.

The unit is quite portable and is powered by 6-AA size alkaline batteries. If both C02 detection and pulse oximetry are being checked continually, in my operatories, the batteries need to be replaced every 15 hours. When the low battery indicator flashes you must change batteries. This is a critical time and the unit will not function if the batteries are not changed. If the batteries are very low on start up the set-up will not initiate and the displays will remain blank.

This unit is a work-horse. It is conveniently sized and portable so that it can be easily moved between operatories or positioned at a work-station without utilizing needed space. When compared to other higher priced human monitoring systems that I have utilized, this unit provides similar data in a price range that all practices can easily realize in their budgetary departments.

** Explanation of VDR Grading System based on independent clinical investigation at the CDRS dental operatories.

Performance:

Grade 1- Excellent performance

Grade 2 - Good performance

Grade 3 - Fair Performance

Reliability:

A - Reliability excellent

B - Reliability good

C - Reliability fair

Fees:

I - Fee structure-Reliability justifies product cost

II— - Fee structure high

III - Fee structure unreasonable for product function parameters

The grading system herein solely reflects the opinion of Dr. DeForge—Director of the Connecticut Dental Referral Service and has no connection to any group, association, or board to which his name has been designated. The grading is for review and there has been no relationship with said companies, mentioned herein, that could defer from objectivity. Dr. DeForge works as an independent veterinary clinical investigator and researcher. Dr. DeForge welcomes comments from other users of this monitoring device. Send comments to his e-mail: dondeforge@aol.com